Freund Cynthia M, Crocker Joseph D, Silberman Pam C, Weisner Kristie K, DeFriese Gordon H
University of North Carolina at Chapel Hill School of Nursing, USA.
N C Med J. 2004 Mar-Apr;65(2):68-77.
North Carolina is indeed fortunate to have avoided many of the extreme shortages of nurses reported in other states. Yet, there are important developments on the horizon that have the potential to cause such shortages. Taking action today to expand the production of new nurses, enhance their education, augment school-to-work transitions, and improve the nursing workplace environment can help reduce the likelihood of a future nursing workforce crisis. Some steps will require new financial commitments either from public or private sources. Others will require a renewed commitment on the part of employers, educators, regulators and the nursing community. However, these steps are necessary if we are to recruit and retain well-prepared and motivated nurses who are needed to meet our healthcare needs now and in the future. Nursing, especially nursing at the bedside in hospitals and in long-term care, requires increasingly sophisticated technical skills and continues to demand intellectual, physical and emotional energy beyond what would be required in many other professions and occupations. It is hoped that the recommendations offered here will help focus the efforts of legislators, educators, employers, the nursing community, trade associations, foundations and the public at large to ensure an adequate supply of well-trained nursing personnel for the future.
北卡罗来纳州确实很幸运，避免了其他州所报告的许多严重护士短缺问题。然而，未来有一些重要的发展趋势有可能导致此类短缺。如今采取行动扩大新护士的培养规模、加强他们的教育、促进从学校到工作的过渡以及改善护理工作场所环境，有助于降低未来护理人员危机发生的可能性。有些举措需要公共或私人来源提供新的资金支持。其他举措则需要雇主、教育工作者、监管机构和护理界重新作出承诺。然而，如果我们要招募并留住训练有素且积极性高的护士，以满足我们现在及未来的医疗保健需求，这些举措是必要的。护理工作，尤其是医院和长期护理机构中的床边护理工作，需要越来越复杂的技术技能，并且持续需要超出许多其他职业所需的智力、体力和情感投入。希望这里提出的建议将有助于集中立法者、教育工作者、雇主、护理界、行业协会、基金会及广大公众的力量，以确保未来有充足的训练有素的护理人员供应。
